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Kaiser Foundation Health Plan Mid-Atlantic

Kaiser Foundation Health Plan Mid-Atlantic

This page contains information you can use to exchange healthcare transactions with Kaiser Foundation Health Plan Mid-Atlantic using Stedi.
Use any of the following payer IDs to send transactions to Kaiser Foundation Health Plan Mid-Atlantic using Stedi APIs or SFTP. Read the docs
Primary Payer ID
KSRA
Stedi Payer ID
NOQOP
Payer ID aliases
100181, 10113, 52095, 52095MA, KSRA, NG008, RH010
Parent group
Kaiser Foundation Group
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Kaiser Foundation Health Plan Mid-Atlantic using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Kaiser Foundation Health Plan Mid-Atlantic.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Kaiser Foundation Health Plan Mid-Atlantic to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Kaiser Foundation Health Plan Mid-Atlantic in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Kaiser Foundation Health Plan Mid-Atlantic and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Kaiser Foundation Health Plan Mid-Atlantic and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Kaiser Foundation Health Plan Mid-Atlantic to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Kaiser Foundation Health Plan Mid-Atlantic and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Kaiser Foundation Health Plan Mid-Atlantic.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Kaiser Foundation Health Plan Mid-Atlantic and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Kaiser Foundation Health Plan Mid-Atlantic today.
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